Effects of a Range of Naltrexone Doses in Combination With Smoked Marijuana

Sponsor
New York State Psychiatric Institute (Other)
Overall Status
Completed
CT.gov ID
NCT00403117
Collaborator
Research Foundation for Mental Hygiene, Inc. (Other), National Institute on Drug Abuse (NIDA) (NIH)
49
10
44

Study Details

Study Description

Brief Summary

The purpose of this study is to determine if the subjective effects of marijuana will be decreased by low-doses (< 25 mg) of naltrexone and increased by high-doses (> 50 mg) of naltrexone.

Condition or Disease Intervention/Treatment Phase
  • Drug: Placebo + Inactive Marijuana (0% THC)
  • Drug: Placebo + Active Marijuana (3.27% THC)
  • Drug: Naltrexone 12 Mg+ Active Marijuana (3.27% THC)
  • Drug: Naltrexone 25 Mg + Active Marijuana (3.27% THC)
  • Drug: Naltrexone 50 Mg+ Active Marijuana (3.27% THC)
  • Drug: Naltrexone 100 Mg+ Active Marijuana (3.27% THC)
  • Drug: Naltrexone 12 Mg + Inactive Marijuana (0% THC)
  • Drug: Naltrexone 25 Mg + Inactive Marijuana (0% THC)
  • Drug: Naltrexone 50 Mg + Inactive Marijuana (0% THC)
  • Drug: Naltrexone 100 Mg + Inactive Marijuana (0% THC)
Phase 2

Detailed Description

Laboratory animal studies demonstrate that endogenous cannabinoids and opioids are closely inter-related. We have completed a series of studies in marijuana smokers showing that a clinically-utilized dose of naltrexone (50 mg) enhanced the reinforcing and subjective effects of orally-administered tetrahydrocannabinol (THC), while a low naltrexone dose (12 mg) blunted the effects of THC. A better understanding of the effects of a range of naltrexone doses in combination with smoked marijuana has important implications for the following reasons: (1) Alcohol- and opioid-dependent patients receive high doses of naltrexone (50-150 mg), which may increase the abuse liability of marijuana, (2) Low-dose naltrexone blunts THC's intoxicating effects, suggesting potential utility as a treatment medication for marijuana dependence. This study will determine if naltrexone (0, 12, 25, 50, 100 mg) administration 45 min prior to marijuana administration (0, 3.27% THC) alters marijuana's subjective, cognitive or physiological effects. Marijuana smokers will spend approximately 5h/day for a total of 10 days in the outpatient laboratory. Participants will visit the outpatient laboratory 2-3 times per week, with a minimum 48-hr interval between sessions to allow for naltrexone clearance. These data will provide important information regarding the clinical use of naltrexone.

Study Design

Study Type:
Interventional
Actual Enrollment :
49 participants
Allocation:
Randomized
Intervention Model:
Single Group Assignment
Masking:
Double (Participant, Investigator)
Masking Description:
double-blind, placebo-controlled
Primary Purpose:
Basic Science
Official Title:
Opioid Antagonism Enhances Marijuana's Effects in Heavy Marijuana Smokers
Study Start Date :
Dec 1, 2006
Actual Primary Completion Date :
May 1, 2008
Actual Study Completion Date :
Aug 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Placebo, Marijuana (0% THC)

During each session, one capsule containing placebo was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (0% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

Drug: Placebo + Inactive Marijuana (0% THC)
One capsule containing placebo was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before marijuana administration.
Other Names:
  • treatment type 1
  • Experimental: Placebo, Marijuana (3.27% THC)

    During each session, one capsule containing placebo was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Placebo + Active Marijuana (3.27% THC)
    One capsule containing placebo was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before administration of a marijuana cigarette containing 3.27% THC (ca. 800 mg) provided by the National Institute on Drug Abuse.
    Other Names:
  • treatment type 2
  • Experimental: Naltrexone (12mg), Marijuana (0% THC)

    During each session, one capsule containing naltrexone (12 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (0% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 12 Mg + Inactive Marijuana (0% THC)
    One capsule containing 12mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before inactive marijuana administration.
    Other Names:
  • treatment type 7
  • Experimental: Naltrexone (12mg), Marijuana (3.27% THC)

    During each session, one capsule containing naltrexone (12 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 12 Mg+ Active Marijuana (3.27% THC)
    One capsule containing 12mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before active marijuana administration.
    Other Names:
  • Treatment type 3
  • Experimental: Naltrexone (25mg), Marijuana (0% THC)

    During each session, one capsule containing naltrexone (25 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (0% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 25 Mg + Inactive Marijuana (0% THC)
    One capsule containing 25mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before inactive marijuana administration.
    Other Names:
  • treatment type 8
  • Experimental: Naltrexone (25mg), Marijuana (3.27% THC)

    During each session, one capsule containing naltrexone (25 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 25 Mg + Active Marijuana (3.27% THC)
    One capsule containing 12mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before active marijuana administration.
    Other Names:
  • treatment type 4
  • Experimental: Naltrexone (50mg), Marijuana (0% THC)

    During each session, one capsule containing naltrexone (50 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (0% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 50 Mg + Inactive Marijuana (0% THC)
    One capsule containing 50mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before inactive marijuana administration.
    Other Names:
  • treatment type 9
  • Experimental: Naltrexone (50mg), Marijuana (3.27% THC)

    During each session, one capsule containing naltrexone (50 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 50 Mg+ Active Marijuana (3.27% THC)
    One capsule containing 25mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before marijuana administration.
    Other Names:
  • treatment type 5
  • Experimental: Naltrexone (100mg), Marijuana (0% THC)

    During each session, one capsule containing naltrexone (100 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (0% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 100 Mg + Inactive Marijuana (0% THC)
    One capsule containing 100mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before inactive marijuana administration.
    Other Names:
  • treatment type 10
  • Experimental: Naltrexone (100mg), Marijuana (3.27% THC)

    During each session, one capsule containing naltrexone (100 mg) was administered to the participant in a size 00 opaque capsule with lactose filler. A marijuana cigarette (3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse, was administered 45 minutes post capsule administration.

    Drug: Naltrexone 100 Mg+ Active Marijuana (3.27% THC)
    One capsule containing 50mg Naltrexone was administered to the participant in a size 00 opaque capsules with lactose filler 45 minutes before marijuana administration.
    Other Names:
  • treatment type 6
  • Outcome Measures

    Primary Outcome Measures

    1. Change in Mean Subjective Mood Scores as a Function of Marijuana Strength and Naltrexone Dose. [Baseline compared to 6 week timepoint]

      All subjective effects were measured using visual analog scales (VAS), a series of 100 mm long lines labeled 'not at all' at one end (0 mm) and 'extremely' at the other end (100 mm). Participants were instructed to rate their subjective experiences on the line according to how they felt at that particular moment. Subjective assessments included measures of perceived marijuana strength, marijuana "high", "good effects" of marijuana, and how much marijuana was "liked". Marijuana's effects were determined by comparing the active and inactive marijuana conditions when paired with the placebo naltrexone condition (one comparison). Naltrexone's intrinsic effects were assessed by comparing placebo and each active dose of naltrexone (12, 25, 50, and 100 mg) under the inactive marijuana condition (four comparisons). Finally, the active marijuana- placebo naltrexone condition was compared to the active marijuana-active naltrexone conditions (four comparisons)

    2. Change in Mean Psychomotor Task Performance as a Function of Marijuana Strength and Naltrexone Dose [Baseline compared to 6 week timepoint]

      Change in Digit Symbol Substitution Test (DSST) scores. Increasing scores indicate improvement, on a scale of 0-90. The task batteries included total correct attempts on a 3-min DSST.

    3. Change in Mean Heart Rate as a Function of Marijuana Strength and Naltrexone Dose. [Baseline compared to 6 week timepoint]

      Change in mean heart rate as a function of marijuana and naltrexone dose

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    21 Years to 45 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Current marijuana use

    • Able to perform study procedures

    • 21-45 years of age

    • Women practicing an effective form of birth control

    Exclusion Criteria:
    • Current, repeated illicit drug use (other than marijuana)

    • Presence of significant medical illness (e.g., diabetes, cardiovascular disease, hypertension, examination, laboratory hepatitis, clinically significant laboratory abnormalities, tests, 12-lead ECG, Mantoux test LFTs > 3x upper limit of normal)

    • History of heart disease

    • Request for drug treatment

    • Current parole or probation

    • Pregnancy or current lactation

    • Recent history of significant violent behavior

    • Previous adverse reaction to naltrexone

    • Major current Axis I psychopathology Psychiatric interview (e.g., major depressive disorder, bipolar disorder, suicide risk, schizophrenia)

    • Current use of any prescription or over-the-counter medication

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • New York State Psychiatric Institute
    • Research Foundation for Mental Hygiene, Inc.
    • National Institute on Drug Abuse (NIDA)

    Investigators

    • Principal Investigator: Margaret Haney, Ph.D., New York State Psychiatric Institute

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    New York State Psychiatric Institute
    ClinicalTrials.gov Identifier:
    NCT00403117
    Other Study ID Numbers:
    • IRB# 5350
    • DA09236
    First Posted:
    Nov 23, 2006
    Last Update Posted:
    Mar 15, 2018
    Last Verified:
    Feb 1, 2018
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by New York State Psychiatric Institute
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details A total of 15 males and 14 females completed this study, which used a within-subject design such that each participant received 10 different drug treatments/interventions in total.
    Pre-assignment Detail
    Arm/Group Title Overall Study Participant Flow
    Arm/Group Description Of the 49 participants enrolled, only 29 completed all 10 drug interventions.
    Period Title: Overall Study
    STARTED 49
    COMPLETED 29
    NOT COMPLETED 20

    Baseline Characteristics

    Arm/Group Title Overall Number of Baseline Participants
    Arm/Group Description Baseline measures are only reported for the 29 participants who completed the study.
    Overall Participants 29
    Age (Count of Participants)
    <=18 years
    0
    0%
    Between 18 and 65 years
    29
    100%
    >=65 years
    0
    0%
    Age (Years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Years]
    28.0
    (1.0)
    Sex: Female, Male (Count of Participants)
    Female
    14
    48.3%
    Male
    15
    51.7%
    Region of Enrollment (Count of Participants)
    United States
    29
    100%

    Outcome Measures

    1. Primary Outcome
    Title Change in Mean Subjective Mood Scores as a Function of Marijuana Strength and Naltrexone Dose.
    Description All subjective effects were measured using visual analog scales (VAS), a series of 100 mm long lines labeled 'not at all' at one end (0 mm) and 'extremely' at the other end (100 mm). Participants were instructed to rate their subjective experiences on the line according to how they felt at that particular moment. Subjective assessments included measures of perceived marijuana strength, marijuana "high", "good effects" of marijuana, and how much marijuana was "liked". Marijuana's effects were determined by comparing the active and inactive marijuana conditions when paired with the placebo naltrexone condition (one comparison). Naltrexone's intrinsic effects were assessed by comparing placebo and each active dose of naltrexone (12, 25, 50, and 100 mg) under the inactive marijuana condition (four comparisons). Finally, the active marijuana- placebo naltrexone condition was compared to the active marijuana-active naltrexone conditions (four comparisons)
    Time Frame Baseline compared to 6 week timepoint

    Outcome Measure Data

    Analysis Population Description
    Data from 29 participants were included in this analysis.
    Arm/Group Title Placebo + Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + Marijuana (0.0%THC) Naltrexone (12mg) + Marijuana (3.27%THC) Naltrexone (25mg) + Marijuana (0.0%THC) Naltrexone (25mg) + Marijuana (3.27%THC) Naltrexone (50mg) + Marijuana (0.0%THC) Naltrexone (50mg) + Marijuana (3.27%THC) Naltrexone (100mg) + Marijuana (0.0%THC) Naltrexone (100mg) + Marijuana (3.27%THC)
    Arm/Group Description Placebo + Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + marijuana (0.0%THC) Naltrexone (12mg) + marijuana (3.27%THC) Naltrexone (25mg) + marijuana (0.0%THC) Naltrexone (25mg) + marijuana (3.27%THC) Naltrexone (50mg) + marijuana (0.0%THC) Naltrexone (50mg) + marijuana (3.27%THC) Naltrexone (100mg) + marijuana (0.0%THC) naltrexone + active marijuana
    Measure Participants 29 29 29 29 29 29 29 29 29 29
    Mean VAS ratings "Marijuana Strength"
    8.0
    (0.8)
    25.0
    (3.2)
    6.7
    (0.9)
    34.0
    (2.1)
    8.1
    (0.6)
    31.6
    (1.1)
    9.7
    (0.7)
    36.2
    (2.3)
    10.1
    (0.9)
    34.5
    (1.4)
    Mean VAS ratings "High"
    4.1
    (0.7)
    11.0
    (1.1)
    3.7
    (0.6)
    23.0
    (3.2)
    3.0
    (0.6)
    20.4
    (2.2)
    4.0
    (0.3)
    22.2
    (1.7)
    3.9
    (0.3)
    21.3
    (2.4)
    Mean VAS ratings "Good Effect"
    10.0
    (1.1)
    38.3
    (4.5)
    6.8
    (1.2)
    43.1
    (5.7)
    9.0
    (0.8)
    44.1
    (5.0)
    10.2
    (1.1)
    42.2
    (4.2)
    12.5
    (0.9)
    44.0
    (4.8)
    Mean VAS ratings "Like Drug"
    11.3
    (1.2)
    35.0
    (5.3)
    7.0
    (0.7)
    44.0
    (3.7)
    9.3
    (1.2)
    34.7
    (4.8)
    10.3
    (0.5)
    38.0
    (6.6)
    11.4
    (1.2)
    44.0
    (6.0)
    2. Primary Outcome
    Title Change in Mean Psychomotor Task Performance as a Function of Marijuana Strength and Naltrexone Dose
    Description Change in Digit Symbol Substitution Test (DSST) scores. Increasing scores indicate improvement, on a scale of 0-90. The task batteries included total correct attempts on a 3-min DSST.
    Time Frame Baseline compared to 6 week timepoint

    Outcome Measure Data

    Analysis Population Description
    Data from 29 participants were included in this analysis
    Arm/Group Title Placebo + Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + Marijuana (0.0%THC) Naltrexone (12mg) + Marijuana (3.27%THC) Naltrexone (25mg) + Marijuana (0.0%THC) Naltrexone (25mg) + Marijuana (3.27%THC) Naltrexone (50mg) + Marijuana (0.0%THC) Naltrexone (50mg) + Marijuana (3.27%THC) Naltrexone (100mg) + Marijuana (0.0%THC) Naltrexone (100mg) + Marijuana (3.27%THC)
    Arm/Group Description Placebo Inactive marijuana (0.0% THC) Naltrexone: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Marijuana: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Placebo marijuana (3.27% THC) Naltrexone: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Marijuana: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Naltrexone + Inactive marijuana naltrexone + active marijuana Naltrexone + Inactive marijuana naltrexone + active marijuana Naltrexone + Inactive marijuana naltrexone + active marijuana Naltrexone + Inactive marijuana naltrexone + active marijuana
    Measure Participants 29 29 29 29 29 29 29 29 29 29
    Mean (Standard Error) [units on a scale]
    86.2
    (1.8)
    86.1
    (1.7)
    86.7
    (1.7)
    84.7
    (1.6)
    83.4
    (1.7)
    83.5
    (1.6)
    83.6
    (1.8)
    82.1
    (1.4)
    82.1
    (1.6)
    83.0
    (1.7)
    3. Primary Outcome
    Title Change in Mean Heart Rate as a Function of Marijuana Strength and Naltrexone Dose.
    Description Change in mean heart rate as a function of marijuana and naltrexone dose
    Time Frame Baseline compared to 6 week timepoint

    Outcome Measure Data

    Analysis Population Description
    A total of 29 participants were included in the final analysis
    Arm/Group Title Placebo + Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + Marijuana (0.0%THC) Naltrexone (12mg) + Marijuana (3.27%THC) Naltrexone (25mg) + Marijuana (0.0%THC) Naltrexone (25mg) + Marijuana (3.27%THC) Naltrexone (50mg) + Marijuana (0.0%THC) Naltrexone (50mg) + Marijuana (3.27%THC) Naltrexone (100mg) + Marijuana (0.0%THC) Naltrexone (100mg) + Marijuana (3.27%THC)
    Arm/Group Description Placebo Inactive marijuana (0.0% THC) Naltrexone: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Marijuana: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Placebo marijuana (3.27% THC) Naltrexone: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Marijuana: During each session, one capsule containing placebo or naltrexone (12, 25, 50, and 100 mg) was administered to the participant in a size 00 opaque capsules with lactose filler, prepared by the New York State Psychiatric Institute Research Pharmacy. A marijuana cigarette (0 or 3.27% THC; ca. 800 mg) provided by the National Institute on Drug Abuse was smoked 45 min after naltrexone administration, the time at which naltrexone levels peak. Naltrexone + Inactive marijuana naltrexone + active marijuana Naltrexone + Inactive marijuana naltrexone + active marijuana Naltrexone + Inactive marijuana naltrexone + active marijuana Naltrexone + Inactive marijuana naltrexone + active marijuana
    Measure Participants 29 29 29 29 29 29 29 29 29 29
    Mean (Standard Deviation) [Heart rate (beats/minute)]
    68.5
    (0.5)
    70.7
    (0.6)
    65.8
    (0.5)
    72.1
    (0.4)
    67.3
    (0.4)
    72.7
    (0.7)
    65.6
    (0.3)
    72.2
    (0.6)
    67.7
    (0.4)
    72.4
    (0.4)

    Adverse Events

    Time Frame Adverse events were collected for the six weeks that each participant was enrolled in the study.
    Adverse Event Reporting Description
    Arm/Group Title Placebo + Inactive Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + Marijuana (0.0%THC) Naltrexone (12mg) + Marijuana (3.27%THC) Naltrexone (25mg) + Marijuana (0.0%THC) Naltrexone (25mg) + Marijuana (3.27%THC) Naltrexone (50mg) + Marijuana (0.0%THC) Naltrexone (50mg) + Marijuana (3.27%THC) Naltrexone (100mg) + Marijuana (0.0%THC) Naltrexone (100mg) + Marijuana (3.27%THC)
    Arm/Group Description In this arm, participants received placebo + inactive marijuana (0.0%THC) In this arm, participants received placebo + Marijuana (3.27% THC) In this arm, participants received naltrexone (12mg) + marijuana (0.0%THC) In this arm, participants received naltrexone (12mg) + marijuana (3.27%THC) In this arm, participants received naltrexone (25mg) + marijuana (0.0%THC) In this arm, participants received naltrexone (25mg) + marijuana (3.27%THC) In this arm, participants received naltrexone (50mg) + marijuana (0.0%THC) In this arm, participants received naltrexone (50mg) + marijuana (3.27%THC) In this arm, participants received naltrexone (100mg) + marijuana (0.0%THC) In this arm, participants received naltrexone (100mg) + marijuana (3.27%THC)
    All Cause Mortality
    Placebo + Inactive Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + Marijuana (0.0%THC) Naltrexone (12mg) + Marijuana (3.27%THC) Naltrexone (25mg) + Marijuana (0.0%THC) Naltrexone (25mg) + Marijuana (3.27%THC) Naltrexone (50mg) + Marijuana (0.0%THC) Naltrexone (50mg) + Marijuana (3.27%THC) Naltrexone (100mg) + Marijuana (0.0%THC) Naltrexone (100mg) + Marijuana (3.27%THC)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%)
    Serious Adverse Events
    Placebo + Inactive Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + Marijuana (0.0%THC) Naltrexone (12mg) + Marijuana (3.27%THC) Naltrexone (25mg) + Marijuana (0.0%THC) Naltrexone (25mg) + Marijuana (3.27%THC) Naltrexone (50mg) + Marijuana (0.0%THC) Naltrexone (50mg) + Marijuana (3.27%THC) Naltrexone (100mg) + Marijuana (0.0%THC) Naltrexone (100mg) + Marijuana (3.27%THC)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%)
    Other (Not Including Serious) Adverse Events
    Placebo + Inactive Marijuana (0.0%THC) Placebo + Marijuana (3.27% THC) Naltrexone (12mg) + Marijuana (0.0%THC) Naltrexone (12mg) + Marijuana (3.27%THC) Naltrexone (25mg) + Marijuana (0.0%THC) Naltrexone (25mg) + Marijuana (3.27%THC) Naltrexone (50mg) + Marijuana (0.0%THC) Naltrexone (50mg) + Marijuana (3.27%THC) Naltrexone (100mg) + Marijuana (0.0%THC) Naltrexone (100mg) + Marijuana (3.27%THC)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/49 (0%) 0/49 (0%) 0/49 (0%) 7/49 (14.3%) 12/49 (24.5%) 1/49 (2%) 0/49 (0%) 0/49 (0%) 0/49 (0%) 0/49 (0%)
    Gastrointestinal disorders
    gastrointestinal upset 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0 6/49 (12.2%) 6 1/49 (2%) 1 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0
    Social circumstances
    conflicting social circumstance 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0 7/49 (14.3%) 7 6/49 (12.2%) 6 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0 0/49 (0%) 0

    Limitations/Caveats

    A limitation of this study is the small sample size.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Margaret Haney, PhD
    Organization New York State Psychiatric Institute
    Phone 646-774-6153
    Email mh235@cumc.columbia.edu
    Responsible Party:
    New York State Psychiatric Institute
    ClinicalTrials.gov Identifier:
    NCT00403117
    Other Study ID Numbers:
    • IRB# 5350
    • DA09236
    First Posted:
    Nov 23, 2006
    Last Update Posted:
    Mar 15, 2018
    Last Verified:
    Feb 1, 2018